Cost of a Hernia Repair Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare market operates at approximately 4% below national averages, creating more accessible pricing for surgical procedures across the state's diverse urban and rural communities. Patients seeking Hernia Repair services typically pay between $440 and $1,016, with a median out-of-pocket cost of $660 based on negotiated insurance rates. Tennessee hosts over 2,200 active Hernia Repair providers, giving patients substantial options to browse all providers in Tennessee for the most suitable care.
Average
$705
Median
$660
Lowest
$440
Highest
$1,016
Providers
2,254
16% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,147 | $1,734 | $2,647 | 2,258 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,095 | $1,701 | $2,579 | 2,352 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $418 | $715 | $1,090 | 2,391 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $466 | $690 | $1,057 | 2,276 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $531 | $835 | $1,300 | 2,318 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $90 | $748 | $1,258 | 2,637 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,116 | $1,679 | 2,384 |
| Septoplasty Nasal septum repair | 30520 | $516 | $732 | $1,155 | 2,275 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $234 | $364 | $559 | 2,379 |
| Mastectomy Partial or simple mastectomy | 19301 | $371 | $763 | $1,198 | 2,374 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $332 | $503 | $804 | 2,426 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 49505 — Repair initial inguinal hernia, age 5 or older). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 49505 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 49505 (Repair initial inguinal hernia, age 5 or older), as mandated by the CMS Price Transparency Rule.
What CPT 49505 covers: the provider's professional fee for inguinal hernia repair. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Tennessee
These hospitals in Tennessee are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MOUNTAIN HOME, TN
MANCHESTER, TN
HUNTINGDON, TN
FRANKLIN, TN
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Hernia Repair Visit Costs Vary Across Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive provider market across most specialties. The state's mix of major metropolitan areas like Nashville and Memphis alongside extensive rural counties creates distinct pricing tiers for surgical procedures.
Urban vs. Rural Provider Availability
Tennessee's major metropolitan areas of Nashville, Memphis, Knoxville, and Chattanooga concentrate most specialized surgical services, while rural counties often require patients to travel significant distances for hernia repair procedures. Urban centers typically have higher facility overhead costs but more competitive surgeon pricing due to provider density. Rural areas may offer lower facility fees but fewer options for minimally invasive surgical techniques.
Facility Type and Overhead Costs
Hospital-owned outpatient surgery centers in Tennessee generally charge higher facility fees than independent ambulatory surgical centers, particularly within major health systems like Vanderbilt University Medical Center and HCA Healthcare facilities. Academic medical centers often have the highest overhead costs but may offer complex case expertise and resident training programs. Independent surgical centers frequently provide the most competitive pricing for routine hernia repairs.
Insurance Market Competition in Tennessee
BlueCross BlueShield of Tennessee holds the largest market share statewide, followed by UnitedHealthcare and Cigna, creating moderate insurer competition in most regions. Rural counties often have limited insurer options, potentially resulting in less favorable negotiated rates with providers. The competitive landscape in Nashville and Memphis generally produces better negotiated rates and more provider choices for patients.
Physician Supply and Demand in Tennessee
With over 2,200 active Hernia Repair providers across Tennessee, the state maintains adequate surgical capacity relative to its population, helping keep pricing competitive. The concentration of providers in urban areas creates healthy competition for routine procedures while rural areas may experience longer wait times and premium pricing. Tennessee's growing population and medical tourism from neighboring states maintains steady demand for surgical services.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Hernia Repair Costs in Tennessee
What is the average cost of a Hernia Repair visit in Tennessee without insurance?
Does Tennessee Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Tennessee?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hernia Repair visit in Tennessee?
How does telemedicine affect the cost of seeing a Hernia Repair in Tennessee?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 49505)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,031 | $1,784 |
| 2 | Iowa Range: $457 – $2,449 | $1,346 |
| 3 | Alaska Range: $440 – $2,338 | $1,154 |
| 4 | Massachusetts Range: $397 – $2,168 | $1,133 |
| 5 | Montana Range: $378 – $2,328 | $1,120 |
| 6 | Georgia Range: $421 – $1,969 | $1,097 |
| 7 | South Dakota Range: $439 – $2,034 | $1,081 |
| 8 | Wyoming Range: $628 – $1,642 | $1,050 |
| 9 | New Hampshire Range: $504 – $1,521 | $1,002 |
| 10 | Nebraska Range: $637 – $1,214 | $994 |
| 11 | Washington Range: $592 – $1,594 | $984 |
| 12 | Minnesota Range: $344 – $1,787 | $970 |
| 13 | Rhode Island Range: $440 – $1,521 | $940 |
| 14 | North Dakota Range: $437 – $1,537 | $894 |
| 15 | Maine Range: $630 – $1,022 | $883 |
| 16 | Utah Range: $374 – $1,150 | $883 |
| 17 | California Range: $423 – $1,216 | $871 |
| 18 | Oregon Range: $440 – $1,399 | $866 |
| 19 | North Carolina Range: $426 – $1,453 | $859 |
| 20 | District of Columbia Range: $381 – $1,221 | $834 |
| 21 | Connecticut Range: $368 – $1,435 | $824 |
| 22 | New Mexico Range: $465 – $1,226 | $821 |
| 23 | West Virginia Range: $381 – $1,378 | $806 |
| 24 | Missouri Range: $493 – $1,027 | $804 |
| 25 | Colorado Range: $441 – $1,242 | $798 |
| 26 | Michigan Range: $440 – $1,216 | $797 |
| 27 | Delaware Range: $330 – $1,435 | $789 |
| 28 | Illinois Range: $90 – $1,569 | $789 |
| 29 | Pennsylvania Range: $333 – $1,448 | $781 |
| 30 | Idaho Range: $438 – $1,197 | $775 |
| 31 | Hawaii Range: $426 – $1,149 | $769 |
| 32 | New York Range: $364 – $1,435 | $768 |
| 33 | Kentucky Range: $396 – $1,220 | $763 |
| 34 | Vermont Range: $391 – $1,271 | $753 |
| 35 | Arkansas Range: $461 – $1,043 | $746 |
| 36 | New Jersey Range: $309 – $1,435 | $740 |
| 37 | Indiana Range: $90 – $1,448 | $722 |
| 38 | Mississippi Range: $409 – $1,251 | $718 |
| 39 | Tennessee Range: $440 – $1,016 | $705 |
| 40 | South Carolina Range: $391 – $1,170 | $705 |
| 41 | Texas Range: $407 – $1,086 | $699 |
| 42 | Alabama Range: $356 – $1,111 | $688 |
| 43 | Louisiana Range: $383 – $1,052 | $681 |
| 44 | Kansas Range: $493 – $872 | $667 |
| 45 | Virginia Range: $358 – $1,079 | $664 |
| 46 | Maryland Range: $381 – $1,079 | $653 |
| 47 | Oklahoma Range: $429 – $991 | $647 |
| 48 | Ohio Range: $328 – $1,039 | $638 |
| 49 | Nevada Range: $423 – $859 | $596 |
| 50 | Arizona Range: $432 – $882 | $585 |
| 51 | Florida Range: $35 – $920 | $337 |